1 in 5 Adults Reporting Job, Coverage Disruption Now Uninsured
COVID-19 led to an uptick in the number of uninsured individuals as companies furloughed or laid off staff to make ends meet. Many of these workers and their families lost coverage as a...Appeals Court Nixes Fraud Case Against Baylor Scott & White Health
Texas-based Baylor Scott & White Health has again beat a False Claims Act lawsuit alleging that it inflated medical codes in order to maximize Medicare reimbursement. On May 28, the US Court of...Out-of-Network Bills Common for Some Pathologists, Other Specialists
Out-of-network billing occurs infrequently for most specialty providers, but a select few always or nearly always bill out of network for inpatient and outpatient services, according to a new report...Small Practices Benefit Less from Medicare’s Care Management Codes
CMS added two care management codes to the Medicare Physician Fee Schedule to better support primary care practices, but a study from Harvard University suggests that the codes may not be working as...Sponsored by CarePayment
Redefining Patient Collections in the Wake of the COVID-19 Crisis
Consumerism continues to be one of the top factors impacting healthcare and patient collections. The widening affordability gap and the rise in high-deductible health plans have pushed patients to...Sponsored by XIFIN
Leveraging Payer, Client Behavior Data to Maximize Lab Revenue
Health systems have access to testing and billing data from several different types of patient encounters — inpatient, outpatient, outreach, as well as independent or reference lab for specialty...Studies Examine Surprise Billing for Ambulance Rides, ASC Visits
A pair of studies released ahead of the next edition of Health Affairs examined the prevalence of surprise billing and out-of-network charges for ambulance rides and ambulatory surgery center (ASC)...What Providers Need to Know About COVID-19 Coding and Billing
The COVID-19 pandemic is putting strain on the healthcare system, but accurately capturing data and documenting cases of the novel coronavirus can help ease the burden on providers. For more...Documentation to Ease Medical Billing Issues Due to COVID-19
Clinical documentation is critical to serving patients with COVID-19, but also avoiding medical billing and payment issues in the months and years following the pandemic, according to healthcare...CommonSpirit Health, Others Suspend Patient Billing for COVID-19
One of the nation’s largest health systems recently announced that it will suspend patient billing for the testing and treatment of COVID-19. Patients presenting at one of CommonSpirit...AMA Unveils New CPT Code for Coronavirus Test
The American Medical Association (AMA) recently announced that the CPT Editorial Panel approved a new Current Procedural Terminology (CPT) code for a novel coronavirus test. “In the face of the...How COVID-19 Is Impacting the Healthcare Revenue Cycle
As entire nations encourage their populations to stay inside to avoid COVID-19, healthcare providers are more active than ever in response to the outbreak of the novel coronavirus. This activity is...CMS Develops New Billing Codes for Coronavirus Lab Tests
CMS recently announced the development of new billing codes for coronavirus lab tests that will enable clinical laboratories and other providers to receive reimbursement for supporting patients during...42% of Anesthesiologists Had Contracts Terminated in Last 6 Months
Anesthesiologists are being forced out of network as private insurers terminate their physician contracts with little to no notice, according to a recent survey conducted by the American Society of...Sponsored by XIFIN
